VINCENT JAMES ZUCKERMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000092

License Status

NOT RENEWED

Business

First Name

VINCENT JAMES

Last Name

ZUCKERMAN

Business Name

VINCENT JAMES ZUCKERMAN

Original Issue Date

11/05/1980

Effective Date

11/05/1980

Expiration Date

11/05/1984

City

LAKEWOOD

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/26/2006